Bornsztein B, Julian T M
Department of Obstetrics and Gynecology, University of Minnesota, Minneapolis.
Obstet Gynecol. 1991 Nov;78(5 Pt 1):869-72.
Student evaluations of the obstetrics and gynecology clerkship at the University of Minnesota suggested dissatisfaction because of disparity in students' clinical participation among training sites. We therefore designed a method to evaluate student experience. We found that 19.6% of students completed all the clinical activities we designated as essential to an adequate clerkship experience. The average student on the clerkship completed 85.3% of the expected clinical activities. Clerkship sites varied widely (71.5-98.3%) as to the proportion of clinical activities completed by the students. Feedback from the students incorrectly implied that low clinical experience occurred in institutions served by private practitioners rather than full-time faculty. In reality, there was no difference in clinical activities accomplished with private physicians (84.2%) or with full-time faculty (86.6%). From later student evaluations, we concluded that measurement of clinical activities completed can serve as a stimulus to increase student participation.
明尼苏达大学的学生对妇产科实习的评价显示，由于各培训地点学生临床参与度存在差异，学生们感到不满。因此，我们设计了一种方法来评估学生的体验。我们发现，19.6%的学生完成了我们指定的对充分实习体验至关重要的所有临床活动。实习的平均学生完成了预期临床活动的85.3%。学生完成临床活动的比例在各实习地点差异很大（71.5 - 98.3%）。学生的反馈错误地暗示，在由私人执业医生而非全职教员服务的机构中，临床经验较少。实际上，与私人医生（84.2%）或全职教员（86.6%）完成的临床活动并无差异。从后来的学生评价中，我们得出结论，对完成的临床活动进行衡量可以作为增加学生参与度的一种激励。
